摘要
目的了解天津市老年肺结核流行特征,为制定老年人群结核病防治对策提供科学依据。方法收集2009-2017年中国疾病预防控制信息系统中结核病信息管理系统中登记的天津市老年(≥60岁)人群肺结核病例资料,统计天津市老年人群肺结核患病率,分析其2009-2017年的变化趋势及在不同诊断分型、不同性别、年龄间的分布差异。采用SPSS 19.0软件对数据进行χ~2检验。结果 2009-2017年天津市报告老年肺结核患者7 910例,占同期全人群登记病例数的25.90%,且呈现逐年上升趋势。天津市老年肺结核报告发病率明显高于全人群平均水平,且占比呈现逐年波动上升趋势;随着患病年龄的增加报告发病率呈升高趋势,85岁及以上人群报告发病率最高(109.20/10万);男女性别比为2.43∶1。老年肺结核患者的就诊延误率为56.04%,明显高于全人群延误水平;对就诊延误影响因素进行分析,女性、涂阳患者、初治患者及转诊者更容易出现延误。结论天津市老年肺结核疫情形势日趋严峻,相关部门应进一步加强老年结核病防治工作和基本公共卫生服务项目的合作,做好老年人群结核病主动筛查,实现老年肺结核的早发现、早治疗。
Objective To understand the epidemiological features of the pulmonary tuberculosis（TB） in elderly of Tianjin,and to provide the evidence for the countermeasures of tuberculosis prevention and control. Methods The data of registered elderly TB patients（≥60 years old） in TB management information system during 2009-2017 were collected,and the morbidity and trend of tuberculosis during 2009-2017,and the differences of the distribution between different diagnosis,gender,age were analyzed.SPSS 19.0 software was used to analyses the data by chi-square test. Results Total 7 910 elderly TB patients（≥60 years old）were reported in Tianjin during 2009-2017,which were 25.90% of TB patients among whole population in the same duration and increase year by year. The morbidity of elderly TB patients in Tianjin was significantly higher than that among whole population in the same duration with increased tend,and enhanced with age,the morbidity（109.20/105） of elderly TB patients（≥85 years old）was the highest;the sex ratio for male and female was 2.43∶1. The delayed rate of TB diagnosis in Tianjin was 56.04% which was significantly higher than that among whole population;the female,smear positive patients,initial treatment of patients,referrals were the influencing factors of delayed TB diagnosis. Conclusion The situation of the elderly TB control and prevention in Tianjin was more and more serious. Relevant departments should strengthen co-operation of elderly TB control and prevention and provide the basic public health services;it should be focused on the active tuberculosis screening in elderly,thus to realize the early detection and treatment of elderly tuberculosis patients.
作者
庞学文
李晓蓉
李敬新
PANG Xue-wen;LI Xiao-rong;LI Jing-xin(Tianjin Tuberc ulos is Control Ce nte r,Tianjin 300041,China)
出处
《中国慢性病预防与控制》
CAS
北大核心
2018年第9期656-659,共4页
Chinese Journal of Prevention and Control of Chronic Diseases
关键词
肺结核
老年人
流行特征
Pulmonary tuberculosis
Elderly
Epidemiology
